Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY FONG, D.D.S.
Active Sole ProprietorJEFFREY FONG, D.D.S. is a Pediatric Dentistry healthcare provider located in REGO PARK, New York. NPI 1790076735 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · REGO PARK, NY
Registration Details
- NPI Number
- 1790076735
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2011 (15.269658576997 yrs)
- Last Updated
- Oct 20, 2015
- Licenses
-
22DI02502400 (NJ)056689-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9411 65TH RDSUITE 1BREGO PARK, NY, 113744627Browse NY providers · Browse ZIP 11374
- Phone
- 3746825688
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in REGO PARK, NY
| Name | Credential | NPI |
|---|---|---|
| MARINA ABRAMOV | DDS | 1932636388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.